| NPI | 1053477224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD P19289) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 59681) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2014-01-10 |